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Related Experiment Videos

Prospective randomized multicentre trial comparing stapled with open haemorrhoidectomy.

E Ganio1, D F Altomare, F Gabrielli

  • 1Department of General Surgery, Colorectal Eporediensis Centre, Ivrea, Italy.

The British Journal of Surgery
|May 15, 2001
PubMed
Summary

Stapled haemorrhoidectomy offers reduced pain and shorter hospital stays compared to conventional open surgery for hemorrhoids. While initial continence issues were noted, stapled hemorrhoidectomy showed better long-term results.

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Area of Science:

  • Colorectal Surgery
  • Surgical Techniques
  • Gastroenterology

Background:

  • Hemorrhoidectomy is a common surgical procedure for symptomatic hemorrhoids.
  • Conventional open hemorrhoidectomy is a widely practiced surgical technique.
  • Stapled hemorrhoidectomy presents an alternative surgical approach.

Purpose of the Study:

  • To compare the outcomes of conventional open hemorrhoidectomy with stapled hemorrhoidectomy.
  • To evaluate postoperative pain, hospital stay, and patient satisfaction.
  • To assess the long-term effectiveness and safety of both surgical methods.

Main Methods:

  • A randomized controlled trial involving 100 patients with third- and fourth-degree hemorrhoids.
  • Patients were allocated to either conventional open hemorrhoidectomy (group 1) or stapled hemorrhoidectomy (group 2).

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  • Outcomes were assessed through clinical examinations, anorectal manometry, patient diaries, and standardized questionnaires at a median of 16 months.
  • Main Results:

    • Stapled hemorrhoidectomy resulted in significantly less moderate and severe postoperative pain compared to open hemorrhoidectomy.
    • Patients undergoing stapled hemorrhoidectomy experienced a shorter median hospital stay (1 day vs. 2 days).
    • While initial difficulties with liquid stool continence were observed in the stapled group, continence scores improved and were better than the open group after 30 days.

    Conclusions:

    • Stapled hemorrhoidectomy is an effective alternative to conventional open hemorrhoidectomy.
    • The stapled technique offers short-term advantages including reduced postoperative pain and shorter hospital stays.
    • Further research may explore long-term functional outcomes and patient-reported benefits.